Cardston Adult Learning Program
Course Registration
Name: First _________________ Last _______________________
Email: ______________
Age: ___ 0 -17 ___ 18 – 34 ___ 35 – 54 __ 55+
Gender: ___ Female ___ Male ___ Other ___ Prefer not to say
Schooling: ___ No Schooling ___ Grade 1-6 ___ Grades 7-9 ___ High School ___ Post Secondary ___ Special Education
Learner Profile : ___ First Nation, Metis, Inuit ___ Permanent Resident/Temporary Resident/Refugee ___ Other